OBGYN & Urology Flashcards

1
Q

pre-e (or HTN) in 1T is suggestive of

A

molar pregnancy

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2
Q

positive KOH prep

A

BV or trich

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3
Q

vaginal ph<4.5 suggestive of

A

yeast

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4
Q

maternal positioning to prevent birth after cord prolapse

A

knee to chest position, prone on knees chest to table; trendelenberg, can also place foley and instill fluid

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5
Q

first two maneuvers for shoulder dystocia

A
  1. mcroberts (flexion of knees)

2. suprapubic pressure

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6
Q

where are dorsal penile nerves located

A

1 and 11 o’clock position

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7
Q

where should penile aspiration take place

A

2 or 10 o’clock position

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8
Q

priapism after c spine injury suggestive of injury where

A

c5

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9
Q

semi-erect painless priapism

A

high flow priapism (less dangerous)

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10
Q

what causes false negative proteinuria on UA

A

dilute urineq

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11
Q

RH negative moms get

A

rhogam

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12
Q

recommended rhogam dose <12 weeks

A

50

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13
Q

how to distinguish a penile contusion from a penile fracture

A

tunica albuginea remains intact in contusion

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14
Q

MC sexually transmitted infection

A

HPV

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15
Q

most common reportable STI

A

chlamydia

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16
Q

most common cause condyloma acuminata

A

HPV 6 and 11

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17
Q

when does acute fatty liver of pregnancy occur

A

third trimester

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18
Q

at what age should patients be referred to a gynecologist to rule out bartholin gland cancer

A

> 40

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19
Q

inability to retract the foreskin into anatomic position

A

paraphimosis

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20
Q

definitive treatment for paraphimosis

A

circumcision

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21
Q

pain and dysthesias of the proximal, anterolateal thigh

A

meralgia paresthetica (caused by inguinal ligament sitting on lateral cutaneous femoral nerve)

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22
Q

relief of pain in meralgia herpetica

A

local injection of anesthetic (treatment is weight loss and loose clothes)

23
Q

painless bright red vaginal bleeding in third trimester

A

placenta previa

24
Q

painful third trimester vaginal bleeding

A

placental abruption

25
Q

when should perimortem c-section be performed

A

within 4 minutes of maternal cardiopulmonary arrest

26
Q

lab that should be checked if concerned for placental abruption

A

fibrinogen

27
Q

management of testicular torsion

A

immediate urology consult and then ultrasound

28
Q

frothy green discharge with strawberry cervix

A

trichomoniasis

29
Q

pH >5

A

trich

30
Q

late decels on fetal monitoring suggest

A

uteroplacental insufficiency

31
Q

inflammation of glans penis

A

balanitis

32
Q

inflammation of distal foreskin

A

balanoposthitis

33
Q

treatment of balanoposthitis

A

hygiene, oral fluconazole, topical antifungals

34
Q

greatest risk factor for ectopic pregnancy

A

past history of ectopic pregnancy

35
Q

when is beta HCG positive

A

about 7 days after fertilization

36
Q

what can you use to dectect vulvar tears in sexual assault

A

toluidine blue

37
Q

what can be used to detect semen stains in sexual assault

A

wood’s lamp

38
Q

what vaccination should be given at initial evaluation after sexual assault

A

hepatitis B if non-immunized

39
Q

what testing should be done at initial eval after sexual assault

A
  1. forensic testing if patient wants

2. pregnancy testing

40
Q

standard treatment to give at initial evaluation after sexual assault

A

cover gonorrhea and chlamydia

41
Q

molar pregnancy increases risk of what malignancy

A

choriocarcinoma

42
Q

4 Ts of postpartum hemorrhage

A
  1. uterine aTony
  2. trauma to birth canal
  3. retention of fetal or placental tissue
  4. coagulopathy or thrombin disorder
43
Q

duration of treatment in asymptomatic bacteruria of pregnancy

A

7-10 days

44
Q

what percentage of pregnant women with asymptomatic bacteruria develop pyelo

A

30%

45
Q

cycle length in oligomenorrhea

A

> 35 days

46
Q

cycle length in polymenorrhea

A

<21 days

47
Q

scanty menstruation

A

hypomenorrhea

48
Q

absense of menses for 6 months

A

amenorrhea

49
Q

regular menstrual cycles with excessive flow and duration

A

menorrhagia

50
Q

irregular menstrual cycles

A

metorrhagia

51
Q

irregular cycles with excessive flow and duration

A

menometorrhagia

52
Q

when does acute fatty liver of pregnancy usually occur

A

third trimester

53
Q

Methylergometrine is contraindicated in what conditino

A

Hypertension or Pre-e